Displaying 3301-3310 of 1611142 results.
ID:
3301
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3302
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3303
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3304
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3305
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3306
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3307
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3308
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3309
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3310
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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