Displaying 28741-28750 of 1611142 results.
ID:
28741
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28742
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28743
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28744
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28745
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28746
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28747
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28748
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28749
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28750
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
28741287422874328744287452874628747287482874928750