Displaying 3741-3750 of 1611142 results.
ID:
3741
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310534
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3742
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3743
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3744
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3745
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3746
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3747
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3748
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3749
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3750
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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