Displaying 27241-27250 of 1611142 results.
ID:
27241
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27242
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
27243
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27244
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27245
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
27246
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
27247
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27248
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
27249
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27250
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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