Displaying 27201-27210 of 1611142 results.
ID:
27201
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27202
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
27203
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
27204
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
27205
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
27206
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27207
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
27208
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27209
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27210
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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