Displaying 6031-6040 of 1611142 results.
ID:
6031
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6032
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6033
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6034
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6035
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6036
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
6037
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6038
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6039
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6040
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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