Displaying 80831-80840 of 1611142 results.
ID:
80831
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80832
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80833
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80834
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80835
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80836
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80837
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80838
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80839
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80840
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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