Displaying 4041-4050 of 1611142 results.
ID:
4041
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4042
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4043
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4044
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4045
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4046
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4047
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4048
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
4049
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4050
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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