Displaying 81211-81220 of 1611142 results.
ID:
81211
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
81212
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81213
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81214
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81215
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81216
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81217
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81218
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81219
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81220
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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