Displaying 28041-28050 of 1611142 results.
ID:
28041
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28042
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28043
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28044
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28045
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28046
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28047
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28048
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28049
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28050
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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