Displaying 3941-3950 of 1611142 results.
ID:
3941
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
3942
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3943
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3944
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
3945
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
3946
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
3947
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3948
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3949
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3950
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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