Displaying 28201-28210 of 1611142 results.
ID:
28201
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28202
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28203
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28204
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28205
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28206
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28207
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28208
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28209
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28210
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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