Displaying 3511-3520 of 1611142 results.
ID:
3511
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3512
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3513
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3514
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3515
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3516
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3517
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3518
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3519
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
3520
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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