Displaying 4111-4120 of 1611142 results.
ID:
4111
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4112
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4113
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4114
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4115
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4116
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4117
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4118
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4119
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4120
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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