Displaying 4961-4970 of 1611142 results.
ID:
4961
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
4962
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
4963
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4964
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4965
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4966
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4967
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
4968
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4969
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
4970
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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