Displaying 3281-3290 of 1611142 results.
ID:
3281
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3282
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3283
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3284
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3285
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3286
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3287
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3288
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3289
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3290
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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