Displaying 80321-80330 of 1611142 results.
ID:
80321
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
80322
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80323
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80324
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80325
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80326
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80327
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80328
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80329
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80330
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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