Displaying 28591-28600 of 1611142 results.
ID:
28591
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
28592
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28593
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28594
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28595
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28596
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28597
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28598
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28599
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28600
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
28591285922859328594285952859628597285982859928600