Displaying 34621-34630 of 1611142 results.
ID:
34621
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
34622
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
34623
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34624
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34625
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34626
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34627
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34628
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34629
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34630
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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