Displaying 28031-28040 of 1611142 results.
ID:
28031
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28032
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28033
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28034
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28035
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28036
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28037
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28038
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28039
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28040
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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