Displaying 5131-5140 of 1611142 results.
ID:
5131
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
5132
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5133
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5134
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5135
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5136
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
5137
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5138
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5139
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5140
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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