Displaying 5811-5820 of 1611142 results.
ID:
5811
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5812
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5813
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5814
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5815
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5816
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5817
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5818
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
5819
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5820
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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