Displaying 3761-3770 of 1611142 results.
ID:
3761
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3762
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3763
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3764
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3765
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3766
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3767
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3768
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3769
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
3770
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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