Displaying 27521-27530 of 1611142 results.
ID:
27521
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27522
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
27523
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
27524
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
27525
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27526
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27527
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27528
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
27529
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27530
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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