Displaying 28231-28240 of 1611142 results.
ID:
28231
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28232
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28233
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
28234
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
28235
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28236
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28237
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28238
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28239
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28240
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
7
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