Displaying 82811-82820 of 1611142 results.
ID:
82811
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82812
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82813
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82814
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82815
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
82816
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82817
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82818
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82819
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82820
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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