Displaying 27911-27920 of 1611142 results.
ID:
27911
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27912
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27913
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27914
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27915
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
27916
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27917
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
30
ID:
27918
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27919
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27920
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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