Displaying 31621-31630 of 1611142 results.
ID:
31621
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31622
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31623
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31624
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
31625
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
31626
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
31627
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31628
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31629
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31630
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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