Displaying 26301-26310 of 1611142 results.
ID:
26301
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26302
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
26303
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26304
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26305
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26306
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26307
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26308
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26309
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26310
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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