Displaying 26351-26360 of 1611142 results.
ID:
26351
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26352
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26353
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
26354
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
26355
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
26356
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26357
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
26358
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26359
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26360
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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