Displaying 8301-8310 of 1611142 results.
ID:
8301
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
8302
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8303
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
8304
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8305
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8306
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8307
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8308
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
8309
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
8310
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
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