Displaying 27571-27580 of 1611142 results.
ID:
27571
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27572
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27573
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27574
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27575
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27576
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27577
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27578
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27579
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27580
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
27571275722757327574275752757627577275782757927580