Displaying 4191-4200 of 1611142 results.
ID:
4191
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
4192
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4193
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4194
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4195
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4196
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4197
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4198
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4199
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4200
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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