Displaying 4181-4190 of 1611142 results.
ID:
4181
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
4182
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4183
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4184
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4185
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4186
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4187
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4188
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4189
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4190
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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