Displaying 3161-3170 of 1611142 results.
ID:
3161
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
3162
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
3163
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3164
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3165
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3166
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3167
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3168
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3169
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3170
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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