Displaying 170321-170330 of 1611142 results.
ID:
170321
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170322
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170323
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170324
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
808118
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170325
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170326
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170327
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170328
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
170329
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170330
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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