Displaying 4871-4880 of 1611142 results.
ID:
4871
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4872
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4873
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4874
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4875
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4876
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4877
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4878
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4879
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4880
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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