Displaying 82241-82250 of 1611142 results.
ID:
82241
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
82242
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
82243
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82244
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
82245
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
82246
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82247
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82248
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82249
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82250
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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