Displaying 26261-26270 of 1611142 results.
ID:
26261
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26262
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26263
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26264
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26265
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26266
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26267
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26268
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26269
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
26270
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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