Displaying 33551-33560 of 1611142 results.
ID:
33551
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33552
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
33553
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33554
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33555
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33556
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33557
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
33558
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33559
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33560
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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