Displaying 27681-27690 of 1611142 results.
ID:
27681
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27682
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053458
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27683
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
27684
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
27685
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27686
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27687
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
27688
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27689
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27690
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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