Displaying 84411-84420 of 1611142 results.
ID:
84411
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
84412
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84413
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
84414
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
84415
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84416
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
84417
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84418
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84419
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84420
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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