Displaying 6621-6630 of 1611142 results.
ID:
6621
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6622
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
6623
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
6624
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
6625
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6626
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6627
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6628
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6629
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
6630
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
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