Displaying 35201-35210 of 1611142 results.
ID:
35201
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35202
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35203
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35204
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35205
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35206
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35207
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35208
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35209
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35210
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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