Displaying 31871-31880 of 1611142 results.
ID:
31871
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
31872
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
31873
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
31874
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31875
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31876
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
31877
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
31878
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31879
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31880
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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