Displaying 3181-3190 of 1611142 results.
ID:
3181
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3182
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3183
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3184
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3185
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3186
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3187
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3188
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3189
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3190
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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