Displaying 3471-3480 of 1611142 results.
ID:
3471
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
3472
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
3473
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
3474
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3475
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3476
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3477
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3478
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3479
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3480
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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