Displaying 3191-3200 of 1611142 results.
ID:
3191
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3192
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
3193
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
3194
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
3195
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
3196
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
3197
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
3198
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3199
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3200
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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