Displaying 34151-34160 of 1611142 results.
ID:
34151
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34152
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34153
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34154
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34155
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
34156
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
ID:
34157
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34158
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34159
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34160
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
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