Displaying 33931-33940 of 1611142 results.
ID:
33931
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33932
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33933
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33934
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33935
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33936
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33937
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33938
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33939
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33940
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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