Displaying 4121-4130 of 1611142 results.
ID:
4121
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4122
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4123
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4124
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4125
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4126
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4127
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4128
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4129
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4130
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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