Displaying 34261-34270 of 1611142 results.
ID:
34261
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34262
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34263
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34264
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34265
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34266
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
34267
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
34268
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
34269
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34270
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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