Displaying 160321-160330 of 1611142 results.
ID:
160321
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160322
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160323
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160324
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160325
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160326
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
160327
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160328
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160329
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160330
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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