Displaying 6201-6210 of 1611142 results.
ID:
6201
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6202
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6203
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6204
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6205
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6206
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
6207
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
6208
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
6209
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
6210
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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