Displaying 26041-26050 of 1611142 results.
ID:
26041
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
26042
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
26043
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
26044
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26045
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26046
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26047
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26048
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26049
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26050
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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