Displaying 5801-5810 of 1611142 results.
ID:
5801
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
5802
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
5803
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5804
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5805
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5806
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5807
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5808
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5809
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5810
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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