Displaying 26361-26370 of 1611142 results.
ID:
26361
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
26362
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
26363
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
26364
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26365
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
26366
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26367
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
26368
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
26369
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26370
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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