Displaying 26021-26030 of 1611142 results.
ID:
26021
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
26022
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
26023
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26024
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
26025
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
26026
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26027
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26028
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
26029
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
26030
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
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