Displaying 28251-28260 of 1611142 results.
ID:
28251
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28252
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28253
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28254
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28255
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28256
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28257
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28258
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28259
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28260
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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