Displaying 2801-2810 of 1611142 results.
ID:
2801
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
2802
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2803
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
2804
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
2805
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
2806
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
2807
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
2808
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
2809
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
2810
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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