Displaying 26131-26140 of 1611142 results.
ID:
26131
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26132
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26133
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26134
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
26135
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
26136
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26137
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26138
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26139
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26140
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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