Displaying 61001-61010 of 1611142 results.
ID:
61001
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61002
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61003
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61004
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61005
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61006
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61007
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
61008
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
61009
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61010
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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