Displaying 26011-26020 of 1611142 results.
ID:
26011
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
26012
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26013
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26014
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26015
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26016
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26017
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
26018
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
26019
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
26020
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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