Displaying 5211-5220 of 1611142 results.
ID:
5211
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5212
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5213
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5214
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5215
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
5216
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
5217
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
5218
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5219
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5220
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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