Displaying 35311-35320 of 1611142 results.
ID:
35311
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35312
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35313
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35314
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35315
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35316
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35317
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
35318
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
35319
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35320
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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