Displaying 34511-34520 of 1611142 results.
ID:
34511
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34512
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34513
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34514
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34515
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
34516
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34517
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34518
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34519
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34520
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
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