Displaying 85061-85070 of 1611142 results.
ID:
85061
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85062
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85063
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85064
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85065
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85066
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85067
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85068
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85069
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85070
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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