Displaying 28421-28430 of 1611142 results.
ID:
28421
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28422
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28423
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28424
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28425
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
28426
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28427
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28428
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28429
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28430
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
28421284222842328424284252842628427284282842928430