Displaying 28731-28740 of 1611142 results.
ID:
28731
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28732
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28733
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28734
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28735
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28736
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28737
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28738
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28739
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28740
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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