Displaying 4371-4380 of 1611142 results.
ID:
4371
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4372
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4373
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4374
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4375
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4376
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4377
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4378
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4379
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4380
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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