Displaying 34971-34980 of 1611142 results.
ID:
34971
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34972
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34973
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34974
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34975
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34976
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34977
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34978
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34979
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34980
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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