Displaying 28981-28990 of 1611142 results.
ID:
28981
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28982
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28983
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28984
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28985
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28986
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28987
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28988
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28989
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
28990
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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