Displaying 28191-28200 of 1611142 results.
ID:
28191
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28192
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28193
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28194
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28195
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28196
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28197
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28198
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28199
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28200
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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