Displaying 5901-5910 of 1611142 results.
ID:
5901
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
5902
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
5903
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
5904
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
ID:
5905
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5906
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5907
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5908
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5909
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5910
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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