Displaying 27731-27740 of 1611142 results.
ID:
27731
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27732
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27733
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27734
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27735
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27736
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27737
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27738
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27739
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27740
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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