Displaying 82071-82080 of 1611142 results.
ID:
82071
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82072
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82073
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
82074
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82075
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
82076
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
82077
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
82078
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
82079
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
25
ID:
82080
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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