Displaying 27351-27360 of 1611142 results.
ID:
27351
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27352
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27353
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27354
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27355
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27356
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27357
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27358
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27359
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27360
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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