Displaying 27811-27820 of 1611142 results.
ID:
27811
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
27812
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
27813
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
27814
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27815
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27816
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27817
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27818
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27819
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27820
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
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