Displaying 3901-3910 of 1611142 results.
ID:
3901
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3902
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3903
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3904
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3905
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3906
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3907
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3908
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3909
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3910
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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