Displaying 26161-26170 of 1611142 results.
ID:
26161
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26162
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26163
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26164
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26165
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26166
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26167
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26168
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26169
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26170
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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