Displaying 3241-3250 of 1611142 results.
ID:
3241
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
3242
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3243
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3244
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3245
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
228
Qty Limit Days:
14
ID:
3246
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
3247
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
3248
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3249
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3250
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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