Displaying 28011-28020 of 1611142 results.
ID:
28011
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
28012
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28013
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28014
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28015
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28016
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
28017
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28018
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
28019
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28020
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
28011280122801328014280152801628017280182801928020