Displaying 26141-26150 of 1611142 results.
ID:
26141
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26142
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
26143
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
26144
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26145
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26146
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26147
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26148
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26149
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26150
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
26141261422614326144261452614626147261482614926150