Displaying 171111-171120 of 1611142 results.
ID:
171111
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171112
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171113
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171114
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171115
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171116
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171117
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171118
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171119
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171120
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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