Displaying 5441-5450 of 1611142 results.
ID:
5441
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5442
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5443
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5444
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5445
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5446
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5447
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5448
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5449
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5450
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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