Displaying 170221-170230 of 1611142 results.
ID:
170221
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170222
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170223
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170224
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170225
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170226
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170227
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170228
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
170229
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170230
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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