Displaying 28161-28170 of 1611142 results.
ID:
28161
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28162
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28163
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28164
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28165
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28166
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28167
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28168
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28169
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28170
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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