Displaying 28821-28830 of 1611142 results.
ID:
28821
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
28822
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
28823
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
28824
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
28825
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28826
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28827
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28828
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28829
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28830
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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