Displaying 6411-6420 of 1611142 results.
ID:
6411
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6412
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6413
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
6414
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
6415
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6416
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6417
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6418
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6419
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6420
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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