Displaying 6371-6380 of 1611142 results.
ID:
6371
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
6372
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6373
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6374
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
6375
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6376
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6377
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6378
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6379
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
6380
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
6371637263736374637563766377637863796380