Displaying 26461-26470 of 1611142 results.
ID:
26461
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26462
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26463
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26464
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26465
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26466
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26467
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26468
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26469
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26470
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
26461264622646326464264652646626467264682646926470