Displaying 28801-28810 of 1611142 results.
ID:
28801
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28802
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28803
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28804
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28805
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28806
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28807
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28808
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28809
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28810
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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