Displaying 60551-60560 of 1611142 results.
ID:
60551
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60552
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60553
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60554
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60555
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60556
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60557
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60558
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60559
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60560
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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