Displaying 27621-27630 of 1611142 results.
ID:
27621
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27622
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27623
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27624
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27625
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27626
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27627
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27628
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27629
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27630
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
27621276222762327624276252762627627276282762927630