Displaying 5071-5080 of 1611142 results.
ID:
5071
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5072
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5073
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5074
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5075
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5076
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
5077
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5078
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
5079
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5080
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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