Displaying 160511-160520 of 1611142 results.
ID:
160511
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160512
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160513
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160514
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160515
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
160516
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160517
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
160518
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
160519
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
160520
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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