Displaying 83631-83640 of 1611142 results.
ID:
83631
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83632
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83633
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83634
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83635
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83636
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83637
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
83638
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83639
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83640
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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