Displaying 5451-5460 of 1611142 results.
ID:
5451
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5452
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5453
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5454
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5455
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5456
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5457
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5458
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5459
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5460
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
5451545254535454545554565457545854595460