Displaying 5481-5490 of 1611142 results.
ID:
5481
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5482
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5483
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5484
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5485
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5486
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5487
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5488
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5489
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5490
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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