Displaying 36201-36210 of 1611142 results.
ID:
36201
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36202
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36203
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
36204
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36205
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
36206
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36207
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36208
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36209
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36210
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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