Displaying 26271-26280 of 1611142 results.
ID:
26271
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
26272
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
26273
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
26274
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
26275
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
26276
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26277
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26278
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26279
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26280
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
26271262722627326274262752627626277262782627926280