Displaying 26101-26110 of 1611142 results.
ID:
26101
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26102
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26103
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26104
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26105
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26106
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26107
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26108
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
ID:
26109
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26110
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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