Displaying 5301-5310 of 1611142 results.
ID:
5301
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5302
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
5303
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5304
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5305
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5306
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5307
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5308
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5309
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5310
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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