Displaying 3531-3540 of 1611142 results.
ID:
3531
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3532
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3533
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3534
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3535
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3536
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3537
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3538
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
3539
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3540
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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