Displaying 33991-34000 of 1611142 results.
ID:
33991
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33992
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33993
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33994
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33995
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33996
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33997
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33998
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33999
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34000
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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