Displaying 170421-170430 of 1611142 results.
ID:
170421
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170422
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170423
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170424
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170425
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170426
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170427
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170428
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170429
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170430
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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