Displaying 81141-81150 of 1611142 results.
ID:
81141
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81142
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81143
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81144
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81145
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81146
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81147
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81148
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81149
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81150
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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