Displaying 5281-5290 of 1611142 results.
ID:
5281
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5282
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5283
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5284
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5285
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5286
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5287
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5288
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5289
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5290
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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