Displaying 28151-28160 of 1611142 results.
ID:
28151
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28152
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28153
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28154
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28155
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28156
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28157
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28158
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
28159
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28160
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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