Displaying 170001-170010 of 1611142 results.
ID:
170001
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170002
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170003
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170004
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170005
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170006
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170007
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170008
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170009
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170010
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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