Displaying 84461-84470 of 1611142 results.
ID:
84461
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84462
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84463
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84464
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84465
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84466
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84467
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84468
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84469
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84470
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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