Displaying 3781-3790 of 1611142 results.
ID:
3781
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3782
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3783
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3784
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3785
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3786
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3787
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3788
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
3789
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3790
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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