Displaying 28911-28920 of 1611142 results.
ID:
28911
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28912
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28913
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28914
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28915
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28916
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28917
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28918
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28919
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
28920
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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