Displaying 34561-34570 of 1611142 results.
ID:
34561
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34562
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34563
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
34564
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34565
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34566
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34567
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34568
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34569
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34570
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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