Displaying 6391-6400 of 1611142 results.
ID:
6391
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
6392
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
6393
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6394
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
6395
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6396
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6397
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6398
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6399
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6400
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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