Displaying 28301-28310 of 1611142 results.
ID:
28301
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28302
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28303
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28304
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28305
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28306
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
28307
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28308
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28309
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28310
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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