Displaying 28111-28120 of 1611142 results.
ID:
28111
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28112
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28113
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28114
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28115
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28116
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28117
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28118
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
28119
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28120
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
28111281122811328114281152811628117281182811928120