Displaying 4131-4140 of 1611142 results.
ID:
4131
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4132
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4133
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4134
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4135
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4136
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4137
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4138
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4139
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4140
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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