Displaying 28901-28910 of 1611142 results.
ID:
28901
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28902
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28903
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28904
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28905
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28906
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28907
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28908
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28909
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28910
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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