Displaying 3771-3780 of 1611142 results.
ID:
3771
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3772
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3773
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3774
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3775
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
3776
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3777
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3778
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3779
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3780
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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