Displaying 5831-5840 of 1611142 results.
ID:
5831
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5832
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5833
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5834
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5835
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
5836
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
5837
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
5838
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
5839
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5840
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
5831583258335834583558365837583858395840