Displaying 3111-3120 of 1611142 results.
ID:
3111
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3112
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3113
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3114
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3115
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3116
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3117
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3118
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3119
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3120
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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