Displaying 161211-161220 of 1611142 results.
ID:
161211
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161212
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161213
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161214
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161215
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161216
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
161217
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161218
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161219
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161220
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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