Displaying 28531-28540 of 1611142 results.
ID:
28531
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28532
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28533
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28534
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28535
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28536
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28537
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28538
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28539
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28540
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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