Displaying 3091-3100 of 1611142 results.
ID:
3091
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3092
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3093
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3094
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
3095
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3096
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3097
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3098
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3099
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3100
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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