Displaying 28241-28250 of 1611142 results.
ID:
28241
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
28242
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28243
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28244
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28245
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28246
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28247
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28248
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28249
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28250
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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