Displaying 161201-161210 of 1611142 results.
ID:
161201
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161202
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161203
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
161204
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
161205
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
161206
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161207
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161208
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161209
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161210
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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