Displaying 3861-3870 of 1611142 results.
ID:
3861
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3862
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3863
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3864
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3865
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
3866
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
3867
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3868
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3869
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3870
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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