Displaying 5231-5240 of 1611142 results.
ID:
5231
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5232
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
5233
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
5234
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5235
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5236
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5237
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5238
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
5239
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5240
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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