Displaying 28381-28390 of 1611142 results.
ID:
28381
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28382
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28383
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28384
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28385
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28386
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
28387
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28388
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28389
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28390
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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