Displaying 31911-31920 of 1611142 results.
ID:
31911
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
31912
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
31913
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
31914
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
31915
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31916
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
31917
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
31918
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
31919
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
31920
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
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