Displaying 33221-33230 of 1611142 results.
ID:
33221
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33222
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
33223
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
33224
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33225
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33226
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33227
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33228
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33229
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33230
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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