Displaying 5361-5370 of 1611142 results.
ID:
5361
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5362
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5363
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5364
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5365
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5366
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5367
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5368
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5369
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5370
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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