Displaying 28221-28230 of 1611142 results.
ID:
28221
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28222
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28223
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28224
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28225
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28226
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
28227
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
28228
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
28229
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
28230
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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