Displaying 4381-4390 of 1611142 results.
ID:
4381
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
4382
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4383
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4384
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4385
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4386
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4387
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4388
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4389
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4390
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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