Displaying 160201-160210 of 1611142 results.
ID:
160201
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
160202
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
160203
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
160204
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
160205
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
160206
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160207
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160208
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
160209
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160210
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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