Displaying 4481-4490 of 1611142 results.
ID:
4481
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
4482
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
4483
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4484
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
4485
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4486
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4487
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4488
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4489
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4490
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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