Displaying 27211-27220 of 1611142 results.
ID:
27211
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27212
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27213
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27214
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27215
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
27216
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
27217
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27218
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27219
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27220
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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