Displaying 34991-35000 of 1611142 results.
ID:
34991
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
34992
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
34993
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34994
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34995
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34996
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34997
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34998
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
34999
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35000
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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