Displaying 3271-3280 of 1611142 results.
ID:
3271
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3272
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
3273
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3274
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3275
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3276
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3277
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
3278
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
3279
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
3280
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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