Displaying 35111-35120 of 1611142 results.
ID:
35111
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
35112
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35113
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35114
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35115
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35116
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35117
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35118
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35119
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35120
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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