Displaying 160101-160110 of 1611142 results.
ID:
160101
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
160102
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160103
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
160104
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
160105
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160106
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160107
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160108
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160109
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160110
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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