Displaying 27601-27610 of 1611142 results.
ID:
27601
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27602
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27603
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27604
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27605
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27606
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
27607
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27608
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
27609
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27610
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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