Displaying 170811-170820 of 1611142 results.
ID:
170811
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170812
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
170813
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
170814
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
170815
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
170816
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170817
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170818
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170819
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170820
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
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