Displaying 26291-26300 of 1611142 results.
ID:
26291
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26292
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26293
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26294
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26295
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26296
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26297
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26298
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26299
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26300
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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