Displaying 3931-3940 of 1611142 results.
ID:
3931
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3932
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
3933
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3934
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3935
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3936
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
3937
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3938
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3939
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
3940
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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