Displaying 28361-28370 of 1611142 results.
ID:
28361
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28362
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28363
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28364
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28365
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28366
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28367
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28368
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28369
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28370
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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