Displaying 34491-34500 of 1611142 results.
ID:
34491
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34492
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34493
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34494
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34495
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34496
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34497
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34498
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34499
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34500
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
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