Displaying 28091-28100 of 1611142 results.
ID:
28091
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
28092
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
28093
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
28094
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28095
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28096
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28097
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28098
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048722
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28099
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28100
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1865962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
28091280922809328094280952809628097280982809928100