Displaying 160411-160420 of 1611142 results.
ID:
160411
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160412
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160413
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
160414
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
160415
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160416
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
160417
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
160418
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
160419
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160420
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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