Displaying 160401-160410 of 1611142 results.
ID:
160401
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160402
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160403
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160404
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160405
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160406
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
160407
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
160408
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160409
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160410
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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