Displaying 6271-6280 of 1611142 results.
ID:
6271
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6272
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6273
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6274
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6275
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6276
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6277
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6278
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6279
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
6280
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
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