Displaying 3461-3470 of 1611142 results.
ID:
3461
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3462
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3463
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3464
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3465
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3466
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3467
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3468
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3469
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3470
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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