Displaying 5621-5630 of 1611142 results.
ID:
5621
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5622
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
5623
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5624
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5625
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5626
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5627
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5628
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5629
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5630
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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