Displaying 6081-6090 of 1611142 results.
ID:
6081
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6082
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6083
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6084
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044732
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6085
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6086
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6087
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6088
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6089
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6090
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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