Displaying 26341-26350 of 1611142 results.
ID:
26341
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26342
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26343
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26344
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26345
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26346
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26347
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26348
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26349
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26350
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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