Displaying 5751-5760 of 1611142 results.
ID:
5751
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5752
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5753
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5754
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5755
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5756
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5757
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5758
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5759
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5760
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
5751575257535754575557565757575857595760