Displaying 84821-84830 of 1611142 results.
ID:
84821
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84822
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84823
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
84824
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84825
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84826
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84827
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84828
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84829
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84830
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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