Displaying 3141-3150 of 1611142 results.
ID:
3141
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3142
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
3143
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3144
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3145
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3146
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3147
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3148
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3149
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3150
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
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