Displaying 1831-1840 of 1611142 results.
ID:
1831
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
1832
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
1833
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
1834
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
1835
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
1836
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
1837
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
1838
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
1839
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
1840
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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