Displaying 5091-5100 of 1611142 results.
ID:
5091
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5092
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5093
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5094
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5095
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5096
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5097
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
5098
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
5099
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
5100
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
84
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