Displaying 33141-33150 of 1611142 results.
ID:
33141
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33142
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33143
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33144
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33145
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33146
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33147
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33148
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33149
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33150
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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