Displaying 26061-26070 of 1611142 results.
ID:
26061
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26062
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26063
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26064
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26065
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26066
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26067
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26068
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26069
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26070
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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