Displaying 28521-28530 of 1611142 results.
ID:
28521
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28522
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28523
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28524
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28525
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28526
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28527
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28528
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
28529
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
28530
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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