Displaying 3571-3580 of 1611142 results.
ID:
3571
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3572
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3573
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3574
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3575
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3576
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3577
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3578
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3579
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3580
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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