Displaying 161101-161110 of 1611142 results.
ID:
161101
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161102
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161103
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
161104
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
161105
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161106
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161107
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161108
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161109
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161110
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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