Displaying 26071-26080 of 1611142 results.
ID:
26071
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26072
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26073
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26074
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26075
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26076
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26077
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26078
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26079
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26080
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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