Displaying 4261-4270 of 1611142 results.
ID:
4261
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4262
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4263
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4264
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4265
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4266
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4267
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4268
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4269
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4270
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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