Displaying 160621-160630 of 1611142 results.
ID:
160621
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160622
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160623
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160624
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160625
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160626
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160627
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160628
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160629
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160630
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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