Displaying 26311-26320 of 1611142 results.
ID:
26311
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26312
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26313
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26314
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26315
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26316
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26317
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26318
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26319
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26320
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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