Displaying 28851-28860 of 1611142 results.
ID:
28851
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28852
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28853
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28854
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28855
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28856
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28857
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28858
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28859
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
28860
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
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