Displaying 3701-3710 of 1611142 results.
ID:
3701
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3702
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3703
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3704
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3705
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3706
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3707
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3708
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3709
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3710
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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