Displaying 28451-28460 of 1611142 results.
ID:
28451
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28452
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28453
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28454
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28455
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28456
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28457
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28458
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28459
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
28460
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
28451284522845328454284552845628457284582845928460