Displaying 27471-27480 of 1611142 results.
ID:
27471
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27472
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27473
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
27474
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27475
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27476
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27477
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27478
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
27479
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27480
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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