Displaying 160121-160130 of 1611142 results.
ID:
160121
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160122
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160123
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
160124
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
160125
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
160126
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160127
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160128
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160129
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160130
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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