Displaying 5601-5610 of 1611142 results.
ID:
5601
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5602
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5603
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5604
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5605
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5606
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5607
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5608
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
5609
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
5610
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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