Displaying 3821-3830 of 1611142 results.
ID:
3821
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
3822
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3823
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3824
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3825
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
3826
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
3827
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3828
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3829
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3830
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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