Displaying 84391-84400 of 1611142 results.
ID:
84391
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84392
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84393
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84394
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84395
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84396
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84397
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84398
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84399
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84400
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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