Displaying 4311-4320 of 1611142 results.
ID:
4311
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4312
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4313
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4314
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4315
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4316
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4317
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4318
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4319
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4320
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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