Displaying 26051-26060 of 1611142 results.
ID:
26051
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26052
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26053
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26054
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26055
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26056
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26057
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26058
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26059
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26060
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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