Displaying 3581-3590 of 1611142 results.
ID:
3581
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3582
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3583
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3584
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3585
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3586
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
3587
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3588
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3589
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
3590
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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