Displaying 34901-34910 of 1611142 results.
ID:
34901
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34902
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34903
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34904
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34905
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34906
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34907
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34908
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34909
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34910
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
34901349023490334904349053490634907349083490934910