Displaying 27991-28000 of 1611142 results.
ID:
27991
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27992
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
27993
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27994
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27995
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27996
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
27997
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
27998
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
27999
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
28000
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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