Displaying 85371-85380 of 1611142 results.
ID:
85371
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85372
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85373
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85374
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85375
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85376
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
994005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85377
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85378
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85379
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85380
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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