Displaying 3341-3350 of 1611142 results.
ID:
3341
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3342
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3343
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3344
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
ID:
3345
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3346
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3347
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3348
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3349
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3350
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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