Displaying 26191-26200 of 1611142 results.
ID:
26191
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26192
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26193
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26194
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26195
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26196
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26197
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26198
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26199
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26200
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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