Displaying 28141-28150 of 1611142 results.
ID:
28141
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28142
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28143
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28144
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28145
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28146
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28147
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28148
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28149
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28150
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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