Displaying 27401-27410 of 1611142 results.
ID:
27401
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27402
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27403
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27404
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27405
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27406
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27407
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27408
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27409
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27410
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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