Displaying 27841-27850 of 1611142 results.
ID:
27841
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27842
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
27843
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27844
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27845
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
27846
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
27847
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
27848
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
27849
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
27850
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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