Displaying 5871-5880 of 1611142 results.
ID:
5871
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
5872
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
5873
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5874
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
5875
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5876
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
5877
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5878
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5879
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5880
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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