Displaying 3391-3400 of 1611142 results.
ID:
3391
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3392
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3393
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3394
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3395
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3396
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3397
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3398
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3399
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3400
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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