Displaying 28601-28610 of 1611142 results.
ID:
28601
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
28602
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
28603
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28604
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28605
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28606
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
28607
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
28608
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28609
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28610
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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