Displaying 160211-160220 of 1611142 results.
ID:
160211
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160212
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160213
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160214
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160215
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160216
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160217
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160218
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160219
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160220
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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