Displaying 5121-5130 of 1611142 results.
ID:
5121
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5122
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5123
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5124
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5125
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5126
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5127
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5128
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
5129
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
5130
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
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