Displaying 170601-170610 of 1611142 results.
ID:
170601
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
126
Qty Limit Days:
28
ID:
170602
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170603
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170604
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170605
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170606
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170607
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170608
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
170609
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170610
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
170601170602170603170604170605170606170607170608170609170610