Displaying 27851-27860 of 1611142 results.
ID:
27851
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
27852
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
27853
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
27854
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
27855
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
27856
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27857
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27858
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27859
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27860
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
27851278522785327854278552785627857278582785927860