Displaying 27151-27160 of 1611142 results.
ID:
27151
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27152
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27153
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27154
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27155
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27156
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
27157
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27158
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27159
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27160
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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