Displaying 3411-3420 of 1611142 results.
ID:
3411
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3412
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3413
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3414
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3415
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3416
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
ID:
3417
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
3418
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3419
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3420
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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