Displaying 5651-5660 of 1611142 results.
ID:
5651
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5652
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5653
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5654
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5655
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5656
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5657
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5658
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5659
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5660
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
5651565256535654565556565657565856595660