Displaying 28491-28500 of 1611142 results.
ID:
28491
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28492
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28493
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28494
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28495
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360548
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28496
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28497
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28498
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28499
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28500
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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