Displaying 26031-26040 of 1611142 results.
ID:
26031
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26032
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
26033
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
26034
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
26035
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26036
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
26037
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26038
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26039
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26040
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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