Displaying 84091-84100 of 1611142 results.
ID:
84091
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84092
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84093
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84094
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
84095
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84096
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84097
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
84098
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
84099
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
84100
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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