Displaying 160601-160610 of 1611142 results.
ID:
160601
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160602
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160603
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160604
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160605
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160606
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160607
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
160608
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
160609
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
160610
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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