Displaying 28471-28480 of 1611142 results.
ID:
28471
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28472
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28473
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28474
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28475
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28476
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28477
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28478
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28479
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28480
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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