Displaying 28431-28440 of 1611142 results.
ID:
28431
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28432
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28433
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
28434
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28435
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28436
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28437
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28438
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28439
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28440
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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