Displaying 4761-4770 of 1611142 results.
ID:
4761
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4762
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4763
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4764
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4765
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4766
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4767
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4768
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4769
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
4770
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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