Displaying 3201-3210 of 1611142 results.
ID:
3201
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3202
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3203
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3204
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
3205
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
3206
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
3207
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
3208
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
ID:
3209
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3210
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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