Displaying 3481-3490 of 1611142 results.
ID:
3481
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3482
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3483
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3484
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3485
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3486
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3487
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3488
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
3489
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
3490
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
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