Displaying 5661-5670 of 1611142 results.
ID:
5661
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
5662
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5663
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5664
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5665
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5666
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5667
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5668
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5669
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
5670
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5661566256635664566556665667566856695670