Displaying 6261-6270 of 1611142 results.
ID:
6261
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
6262
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6263
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
6264
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
6265
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6266
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6267
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6268
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
6269
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6270
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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