Displaying 3951-3960 of 1611142 results.
ID:
3951
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3952
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3953
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3954
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
3955
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
3956
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3957
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3958
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3959
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3960
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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