Displaying 5221-5230 of 1611142 results.
ID:
5221
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5222
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5223
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5224
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5225
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5226
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5227
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5228
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5229
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5230
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5221522252235224522552265227522852295230