Displaying 28761-28770 of 1611142 results.
ID:
28761
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28762
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28763
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28764
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
352066
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28765
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28766
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
28767
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28768
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
28769
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28770
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
28761287622876328764287652876628767287682876928770