Displaying 83711-83720 of 1611142 results.
ID:
83711
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
83712
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83713
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83714
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
83715
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83716
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83717
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83718
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
83719
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
83720
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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