Displaying 4031-4040 of 1611142 results.
ID:
4031
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4032
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4033
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4034
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4035
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4036
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
4037
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
4038
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
4039
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
4040
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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