Displaying 3551-3560 of 1611142 results.
ID:
3551
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3552
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3553
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3554
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3555
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3556
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
3557
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
845518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
3558
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
3559
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3560
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
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