Displaying 160311-160320 of 1611142 results.
ID:
160311
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
160312
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
160313
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160314
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160315
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160316
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
160317
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
160318
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
160319
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160320
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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