Displaying 5401-5410 of 1611142 results.
ID:
5401
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5402
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5403
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5404
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5405
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5406
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5407
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5408
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5409
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5410
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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