Displaying 3171-3180 of 1611142 results.
ID:
3171
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
3172
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
3173
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3174
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
3175
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3176
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3177
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3178
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3179
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3180
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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