Displaying 27701-27710 of 1611142 results.
ID:
27701
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27702
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27703
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27704
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
27705
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27706
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27707
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27708
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27709
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27710
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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