Displaying 28751-28760 of 1611142 results.
ID:
28751
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28752
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28753
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28754
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28755
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28756
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
28757
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28758
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28759
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28760
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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