Displaying 5411-5420 of 1611142 results.
ID:
5411
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5412
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5413
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5414
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5415
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5416
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5417
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5418
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5419
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5420
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
5411541254135414541554165417541854195420