Displaying 27901-27910 of 1611142 results.
ID:
27901
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
27902
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
27903
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
27904
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
27905
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27906
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
27907
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
27908
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27909
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27910
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
27901279022790327904279052790627907279082790927910