Displaying 5711-5720 of 1611142 results.
ID:
5711
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5712
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5713
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5714
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5715
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5716
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5717
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5718
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5719
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5720
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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