Displaying 4211-4220 of 1611142 results.
ID:
4211
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4212
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4213
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4214
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4215
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4216
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4217
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4218
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4219
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4220
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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