Displaying 4801-4810 of 1611142 results.
ID:
4801
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4802
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4803
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4804
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4805
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4806
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4807
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4808
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4809
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4810
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
4801480248034804480548064807480848094810