Displaying 28811-28820 of 1611142 results.
ID:
28811
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28812
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28813
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28814
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28815
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28816
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28817
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
28818
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28819
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
28820
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
28811288122881328814288152881628817288182881928820