Displaying 31711-31720 of 1611142 results.
ID:
31711
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
31712
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31713
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31714
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31715
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31716
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31717
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31718
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31719
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31720
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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