Displaying 33181-33190 of 1611142 results.
ID:
33181
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
33182
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33183
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
33184
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33185
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33186
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33187
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33188
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33189
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33190
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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