Displaying 27141-27150 of 1611142 results.
ID:
27141
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27142
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
27143
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
27144
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27145
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
27146
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27147
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27148
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27149
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27150
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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