Displaying 4841-4850 of 1611142 results.
ID:
4841
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4842
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
4843
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4844
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
4845
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4846
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4847
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4848
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4849
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
4850
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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