Displaying 28571-28580 of 1611142 results.
ID:
28571
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28572
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28573
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28574
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28575
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28576
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28577
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28578
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28579
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28580
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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