Displaying 4951-4960 of 1611142 results.
ID:
4951
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4952
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4953
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4954
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4955
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4956
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4957
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
4958
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
4959
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4960
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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