Displaying 28371-28380 of 1611142 results.
ID:
28371
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28372
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
28373
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
28374
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28375
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28376
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28377
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28378
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28379
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28380
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
28371283722837328374283752837628377283782837928380