Displaying 28861-28870 of 1611142 results.
ID:
28861
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28862
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28863
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28864
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28865
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28866
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28867
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28868
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28869
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28870
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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