Displaying 5321-5330 of 1611142 results.
ID:
5321
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5322
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
5323
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5324
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5325
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5326
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5327
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
5328
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
5329
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
5330
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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