Displaying 2761-2770 of 1611142 results.
ID:
2761
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
2762
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2763
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2764
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2765
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2766
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
2767
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
2768
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
2769
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
2770
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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