Displaying 28051-28060 of 1611142 results.
ID:
28051
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28052
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28053
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28054
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28055
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28056
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28057
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28058
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28059
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28060
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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