Displaying 8631-8640 of 1611142 results.
ID:
8631
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8632
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
8633
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
8634
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
8635
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
8636
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
8637
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
8638
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8639
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8640
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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