Displaying 5391-5400 of 1611142 results.
ID:
5391
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5392
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5393
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5394
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
5395
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5396
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5397
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5398
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5399
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5400
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5391539253935394539553965397539853995400