Displaying 28071-28080 of 1611142 results.
ID:
28071
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28072
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28073
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28074
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28075
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28076
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28077
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28078
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28079
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28080
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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