Displaying 26081-26090 of 1611142 results.
ID:
26081
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26082
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26083
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
26084
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26085
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26086
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
26087
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
26088
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26089
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26090
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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