Displaying 80121-80130 of 1611142 results.
ID:
80121
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
80122
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
80123
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80124
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80125
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80126
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80127
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80128
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80129
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80130
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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