Displaying 35361-35370 of 1611142 results.
ID:
35361
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35362
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35363
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
35364
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
ID:
35365
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35366
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35367
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35368
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35369
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35370
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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