Displaying 26201-26210 of 1611142 results.
ID:
26201
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
26202
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26203
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
26204
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26205
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26206
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
26207
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
26208
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26209
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26210
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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