Displaying 3501-3510 of 1611142 results.
ID:
3501
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3502
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3503
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3504
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3505
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3506
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3507
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3508
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3509
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
3510
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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