Displaying 28631-28640 of 1611142 results.
ID:
28631
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28632
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28633
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28634
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28635
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28636
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
28637
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28638
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
28639
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28640
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
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