Displaying 31781-31790 of 1611142 results.
ID:
31781
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
31782
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
31783
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31784
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31785
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31786
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31787
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31788
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31789
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31790
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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