Displaying 3491-3500 of 1611142 results.
ID:
3491
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3492
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
3493
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3494
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3495
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3496
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
3497
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3498
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3499
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3500
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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