Displaying 84861-84870 of 1611142 results.
ID:
84861
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84862
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84863
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84864
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84865
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84866
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84867
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84868
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84869
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84870
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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