Displaying 5111-5120 of 1611142 results.
ID:
5111
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5112
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5113
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5114
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5115
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
5116
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
5117
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5118
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5119
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5120
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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