Displaying 3361-3370 of 1611142 results.
ID:
3361
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3362
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3363
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
3364
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3365
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3366
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3367
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3368
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3369
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3370
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
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