Displaying 28001-28010 of 1611142 results.
ID:
28001
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28002
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
28003
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28004
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28005
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28006
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28007
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28008
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28009
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28010
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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