Displaying 27551-27560 of 1611142 results.
ID:
27551
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
27552
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27553
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27554
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27555
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27556
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27557
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27558
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27559
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27560
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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