Displaying 6421-6430 of 1611142 results.
ID:
6421
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6422
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6423
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
6424
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
6425
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6426
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
6427
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6428
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6429
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6430
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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