Displaying 4631-4640 of 1611142 results.
ID:
4631
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4632
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4633
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4634
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
ID:
4635
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4636
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4637
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4638
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4639
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4640
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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