Displaying 160801-160810 of 1611142 results.
ID:
160801
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
160802
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
160803
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
160804
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
160805
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
160806
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
160807
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
160808
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
160809
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
160810
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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