Displaying 34531-34540 of 1611142 results.
ID:
34531
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34532
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099686
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
34533
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099691
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
34534
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
34535
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34536
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34537
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34538
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34539
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34540
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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