Displaying 28211-28220 of 1611142 results.
ID:
28211
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28212
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28213
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28214
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
28215
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28216
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28217
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28218
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28219
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28220
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
28211282122821328214282152821628217282182821928220