Displaying 4781-4790 of 1611142 results.
ID:
4781
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
4782
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
4783
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4784
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4785
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4786
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
4787
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
4788
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4789
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4790
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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