Displaying 4911-4920 of 1611142 results.
ID:
4911
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4912
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4913
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4914
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4915
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4916
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4917
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4918
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4919
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
4920
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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