Displaying 3561-3570 of 1611142 results.
ID:
3561
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
3562
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
998191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
3563
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3564
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
3565
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
3566
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
3567
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
3568
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3569
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3570
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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