Displaying 28971-28980 of 1611142 results.
ID:
28971
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28972
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
28973
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28974
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28975
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
28976
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
28977
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28978
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28979
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28980
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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