Displaying 4521-4530 of 1611142 results.
ID:
4521
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4522
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4523
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4524
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4525
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4526
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4527
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4528
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
4529
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4530
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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