Displaying 170311-170320 of 1611142 results.
ID:
170311
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170312
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170313
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170314
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170315
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170316
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170317
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170318
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170319
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170320
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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