Displaying 5771-5780 of 1611142 results.
ID:
5771
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5772
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5773
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5774
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5775
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5776
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
5777
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5778
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5779
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5780
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5771577257735774577557765777577857795780