Displaying 34631-34640 of 1611142 results.
ID:
34631
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34632
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34633
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34634
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34635
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34636
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34637
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34638
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34639
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34640
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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