Displaying 84511-84520 of 1611142 results.
ID:
84511
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84512
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84513
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84514
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84515
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84516
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84517
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84518
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84519
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84520
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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