Displaying 4791-4800 of 1611142 results.
ID:
4791
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4792
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4793
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4794
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4795
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4796
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4797
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4798
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4799
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4800
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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