Displaying 28331-28340 of 1611142 results.
ID:
28331
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28332
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
28333
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28334
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28335
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28336
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28337
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
28338
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
28339
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
28340
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
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