Displaying 27871-27880 of 1611142 results.
ID:
27871
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27872
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27873
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27874
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27875
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27876
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27877
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27878
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
27879
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
27880
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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