Displaying 28831-28840 of 1611142 results.
ID:
28831
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
28832
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28833
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28834
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28835
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28836
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28837
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28838
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28839
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28840
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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