Displaying 5641-5650 of 1611142 results.
ID:
5641
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5642
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5643
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5644
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5645
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5646
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5647
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5648
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5649
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5650
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5641564256435644564556465647564856495650