Displaying 34581-34590 of 1611142 results.
ID:
34581
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34582
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34583
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34584
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34585
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34586
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34587
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34588
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34589
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649964
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34590
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
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