Displaying 5491-5500 of 1611142 results.
ID:
5491
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5492
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5493
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5494
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5495
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5496
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5497
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5498
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5499
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5500
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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