Displaying 82081-82090 of 1611142 results.
ID:
82081
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82082
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82083
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82084
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82085
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82086
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
82087
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
82088
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
82089
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82090
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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