Displaying 27631-27640 of 1611142 results.
ID:
27631
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27632
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27633
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27634
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27635
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27636
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27637
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
27638
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27639
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27640
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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