Displaying 28891-28900 of 1611142 results.
ID:
28891
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28892
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28893
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28894
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28895
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28896
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28897
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28898
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
ID:
28899
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
28900
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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