Displaying 5471-5480 of 1611142 results.
ID:
5471
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5472
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5473
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5474
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5475
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5476
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
7
ID:
5477
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
5478
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5479
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5480
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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