Displaying 33091-33100 of 1611142 results.
ID:
33091
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33092
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33093
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
33094
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
33095
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33096
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33097
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33098
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33099
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
33100
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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