Displaying 28351-28360 of 1611142 results.
ID:
28351
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28352
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28353
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28354
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28355
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28356
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28357
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28358
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28359
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28360
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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