Displaying 31771-31780 of 1611142 results.
ID:
31771
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31772
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31773
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31774
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31775
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31776
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31777
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
31778
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31779
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31780
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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