Displaying 4081-4090 of 1611142 results.
ID:
4081
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
4082
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
4083
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4084
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4085
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4086
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4087
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4088
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4089
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4090
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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