Displaying 5731-5740 of 1611142 results.
ID:
5731
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360548
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5732
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5733
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5734
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5735
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5736
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5737
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5738
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5739
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5740
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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