Displaying 4491-4500 of 1611142 results.
ID:
4491
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4492
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4493
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4494
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4495
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4496
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4497
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4498
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4499
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4500
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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