Displaying 31821-31830 of 1611142 results.
ID:
31821
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31822
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31823
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31824
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31825
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31826
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31827
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31828
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31829
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31830
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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