Displaying 28771-28780 of 1611142 results.
ID:
28771
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28772
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28773
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28774
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28775
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28776
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28777
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
28778
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28779
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28780
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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