Displaying 27651-27660 of 1611142 results.
ID:
27651
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
27652
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
ID:
27653
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27654
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27655
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27656
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
27657
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
27658
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27659
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27660
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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