Displaying 5311-5320 of 1611142 results.
ID:
5311
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5312
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5313
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5314
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5315
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5316
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5317
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5318
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5319
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5320
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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