Displaying 28621-28630 of 1611142 results.
ID:
28621
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
28622
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28623
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28624
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
28625
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
28626
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28627
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28628
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
28629
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28630
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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