Displaying 5821-5830 of 1611142 results.
ID:
5821
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5822
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5823
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5824
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5825
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5826
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5827
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
5828
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
5829
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5830
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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