Displaying 31751-31760 of 1611142 results.
ID:
31751
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31752
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31753
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31754
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31755
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31756
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31757
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31758
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31759
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
31760
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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