Displaying 5381-5390 of 1611142 results.
ID:
5381
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5382
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5383
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5384
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5385
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5386
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5387
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5388
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5389
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5390
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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