Displaying 26381-26390 of 1611142 results.
ID:
26381
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26382
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26383
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
26384
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26385
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26386
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26387
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26388
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26389
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26390
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
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