Displaying 26231-26240 of 1611142 results.
ID:
26231
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26232
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26233
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26234
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26235
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
26236
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
26237
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
26238
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26239
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26240
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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