Displaying 5431-5440 of 1611142 results.
ID:
5431
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5432
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5433
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5434
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5435
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5436
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5437
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5438
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5439
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5440
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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