Displaying 31721-31730 of 1611142 results.
ID:
31721
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31722
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31723
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31724
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31725
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31726
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31727
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31728
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31729
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31730
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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