Displaying 32701-32710 of 1611142 results.
ID:
32701
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
32702
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
32703
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
32704
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
32705
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
32706
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
32707
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
32708
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
32709
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
32710
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
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