Displaying 28131-28140 of 1611142 results.
ID:
28131
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28132
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28133
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28134
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28135
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28136
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28137
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28138
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28139
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28140
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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