Displaying 85211-85220 of 1611142 results.
ID:
85211
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
30
ID:
85212
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85213
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
85214
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85215
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85216
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85217
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85218
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85219
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85220
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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