Displaying 80621-80630 of 1611142 results.
ID:
80621
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80622
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80623
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
80624
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80625
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
80626
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80627
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80628
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80629
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
80630
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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