Displaying 170121-170130 of 1611142 results.
ID:
170121
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170122
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
170123
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170124
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170125
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170126
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170127
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170128
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170129
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170130
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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