Displaying 170201-170210 of 1611142 results.
ID:
170201
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170202
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170203
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
170204
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170205
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170206
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
212438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170207
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
212437
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170208
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170209
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170210
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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