Displaying 5031-5040 of 1611142 results.
ID:
5031
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5032
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5033
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5034
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
5035
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
56
ID:
5036
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5037
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5038
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5039
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5040
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
992403
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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