Displaying 4051-4060 of 1611142 results.
ID:
4051
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
4052
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
4053
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
4054
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4055
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4056
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4057
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
4058
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4059
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
4060
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
4051405240534054405540564057405840594060