Displaying 4331-4340 of 1611142 results.
ID:
4331
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4332
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4333
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4334
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4335
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4336
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4337
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4338
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4339
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
4340
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
4331433243334334433543364337433843394340