Displaying 28171-28180 of 1611142 results.
ID:
28171
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28172
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28173
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28174
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28175
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28176
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28177
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28178
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28179
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28180
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
28171281722817328174281752817628177281782817928180