Displaying 34471-34480 of 1611142 results.
ID:
34471
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34472
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34473
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34474
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34475
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34476
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34477
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34478
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34479
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34480
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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