Displaying 27161-27170 of 1611142 results.
ID:
27161
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27162
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27163
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27164
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27165
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27166
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27167
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27168
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27169
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27170
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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