Displaying 26441-26450 of 1611142 results.
ID:
26441
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26442
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26443
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26444
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26445
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26446
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
309960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26447
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
26448
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26449
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26450
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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