Displaying 4921-4930 of 1611142 results.
ID:
4921
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4922
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
4923
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
4924
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4925
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4926
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4927
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4928
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4929
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
4930
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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