Displaying 28551-28560 of 1611142 results.
ID:
28551
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28552
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28553
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28554
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28555
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28556
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28557
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28558
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28559
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28560
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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