Displaying 3001-3010 of 1611142 results.
ID:
3001
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
3002
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
3003
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3004
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3005
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3006
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3007
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3008
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3009
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3010
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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