Displaying 160901-160910 of 1611142 results.
ID:
160901
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160902
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160903
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160904
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160905
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160906
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160907
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160908
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160909
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160910
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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