Displaying 80101-80110 of 1611142 results.
ID:
80101
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80102
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
80103
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80104
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80105
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80106
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
80107
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
80108
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
80109
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
80110
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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