Displaying 4201-4210 of 1611142 results.
ID:
4201
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4202
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4203
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4204
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4205
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4206
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4207
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4208
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4209
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4210
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
4201420242034204420542064207420842094210