Displaying 160421-160430 of 1611142 results.
ID:
160421
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160422
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160423
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160424
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160425
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160426
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160427
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
160428
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
160429
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054310
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160430
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054313
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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