Displaying 4861-4870 of 1611142 results.
ID:
4861
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4862
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4863
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4864
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4865
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4866
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4867
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4868
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4869
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4870
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
4861486248634864486548664867486848694870