Displaying 160331-160340 of 1611142 results.
ID:
160331
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160332
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160333
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160334
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160335
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1840
Qty Limit Days:
30
ID:
160336
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160337
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160338
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160339
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
160340
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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