Displaying 28081-28090 of 1611142 results.
ID:
28081
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28082
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28083
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28084
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28085
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649964
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28086
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
28087
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28088
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28089
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28090
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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