Displaying 84841-84850 of 1611142 results.
ID:
84841
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
103968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84842
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84843
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84844
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
84845
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84846
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84847
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
84848
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84849
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
84850
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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