Displaying 4001-4010 of 1611142 results.
ID:
4001
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4002
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4003
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4004
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
4005
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4006
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4007
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4008
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4009
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4010
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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