Displaying 4401-4410 of 1611142 results.
ID:
4401
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4402
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4403
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4404
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4405
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4406
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4407
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
4408
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4409
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
4410
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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