Displaying 60001-60010 of 1611142 results.
ID:
60001
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60002
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60003
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60004
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60005
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60006
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60007
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60008
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60009
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60010
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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