Displaying 28021-28030 of 1611142 results.
ID:
28021
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28022
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28023
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28024
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28025
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28026
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28027
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28028
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
28029
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099691
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
28030
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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