Displaying 4831-4840 of 1611142 results.
ID:
4831
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4832
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4833
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
4834
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4835
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4836
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4837
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4838
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4839
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4840
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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