Displaying 28411-28420 of 1611142 results.
ID:
28411
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28412
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28413
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28414
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28415
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28416
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28417
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28418
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28419
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28420
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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