Displaying 27221-27230 of 1611142 results.
ID:
27221
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27222
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27223
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27224
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27225
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27226
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27227
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27228
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27229
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27230
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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