Displaying 4541-4550 of 1611142 results.
ID:
4541
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4542
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4543
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4544
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4545
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4546
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4547
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4548
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4549
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4550
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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