Displaying 33581-33590 of 1611142 results.
ID:
33581
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33582
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33583
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33584
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33585
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33586
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33587
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
33588
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33589
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
33590
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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