Displaying 5241-5250 of 1611142 results.
ID:
5241
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5242
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
5243
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5244
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5245
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5246
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5247
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
5248
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5249
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5250
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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