Displaying 3401-3410 of 1611142 results.
ID:
3401
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3402
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3403
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3404
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3405
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3406
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3407
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
3408
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
10
ID:
3409
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3410
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
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