Displaying 31811-31820 of 1611142 results.
ID:
31811
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31812
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31813
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31814
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
31815
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
31816
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
31817
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
31818
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
31819
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31820
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
31811318123181331814318153181631817318183181931820