Displaying 28581-28590 of 1611142 results.
ID:
28581
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28582
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
28583
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28584
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28585
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28586
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28587
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28588
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28589
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28590
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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