Displaying 5631-5640 of 1611142 results.
ID:
5631
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5632
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5633
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5634
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5635
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5636
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5637
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5638
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5639
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5640
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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