Displaying 28511-28520 of 1611142 results.
ID:
28511
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28512
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28513
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28514
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28515
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28516
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28517
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28518
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28519
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28520
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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