Displaying 28961-28970 of 1611142 results.
ID:
28961
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28962
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28963
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28964
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28965
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28966
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28967
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28968
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28969
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28970
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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