Displaying 83011-83020 of 1611142 results.
ID:
83011
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83012
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83013
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83014
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83015
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
83016
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
83017
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
966607
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83018
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83019
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
83020
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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