Displaying 5701-5710 of 1611142 results.
ID:
5701
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5702
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5703
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5704
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5705
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5706
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5707
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5708
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5709
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5710
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5701570257035704570557065707570857095710