Displaying 4391-4400 of 1611142 results.
ID:
4391
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4392
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
4393
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4394
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4395
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4396
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4397
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4398
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4399
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4400
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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