Displaying 27021-27030 of 1611142 results.
ID:
27021
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27022
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27023
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27024
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27025
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27026
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27027
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27028
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27029
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27030
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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