Displaying 34721-34730 of 1611142 results.
ID:
34721
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34722
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34723
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34724
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
34725
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
34726
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
34727
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
34728
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
34729
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
34730
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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