Displaying 80081-80090 of 1611142 results.
ID:
80081
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
80082
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
80083
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80084
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80085
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80086
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80087
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
80088
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
80089
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
80090
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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