Displaying 28611-28620 of 1611142 results.
ID:
28611
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28612
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28613
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28614
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28615
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28616
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28617
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28618
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
28619
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
28620
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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