Displaying 28841-28850 of 1611142 results.
ID:
28841
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28842
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28843
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28844
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28845
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28846
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28847
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28848
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044732
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28849
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28850
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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