Displaying 5201-5210 of 1611142 results.
ID:
5201
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5202
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5203
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5204
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5205
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5206
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5207
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5208
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5209
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5210
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5201520252035204520552065207520852095210