Displaying 3101-3110 of 1611142 results.
ID:
3101
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3102
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3103
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3104
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3105
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3106
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3107
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3108
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3109
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3110
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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