Displaying 5181-5190 of 1611142 results.
ID:
5181
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5182
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5183
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5184
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5185
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5186
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5187
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5188
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5189
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
5190
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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