Displaying 4651-4660 of 1611142 results.
ID:
4651
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4652
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4653
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4654
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4655
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4656
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4657
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4658
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
4659
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4660
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
4651465246534654465546564657465846594660