Displaying 28781-28790 of 1611142 results.
ID:
28781
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28782
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28783
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28784
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28785
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
28786
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28787
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28788
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28789
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28790
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
28781287822878328784287852878628787287882878928790