Displaying 27361-27370 of 1611142 results.
ID:
27361
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27362
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27363
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27364
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365660
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27365
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27366
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27367
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27368
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27369
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27370
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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