Displaying 4021-4030 of 1611142 results.
ID:
4021
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4022
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4023
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4024
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4025
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4026
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
4027
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4028
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4029
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4030
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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