Displaying 5041-5050 of 1611142 results.
ID:
5041
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5042
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
5043
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
5044
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5045
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5046
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
5047
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
5048
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5049
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
5050
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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