Displaying 26151-26160 of 1611142 results.
ID:
26151
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26152
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26153
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26154
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26155
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26156
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26157
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26158
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26159
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26160
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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