Displaying 28561-28570 of 1611142 results.
ID:
28561
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28562
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
28563
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
28564
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
28565
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
28566
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
28567
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28568
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28569
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28570
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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