Displaying 27951-27960 of 1611142 results.
ID:
27951
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27952
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27953
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
27954
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
27955
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27956
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27957
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27958
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
27959
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27960
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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