Displaying 5081-5090 of 1611142 results.
ID:
5081
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
5082
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5083
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
5084
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
5085
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
5086
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
5087
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
5088
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
5089
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
5090
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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