Displaying 28991-29000 of 1611142 results.
ID:
28991
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28992
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
28993
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28994
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28995
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28996
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28997
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28998
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28999
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29000
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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