Displaying 26471-26480 of 1611142 results.
ID:
26471
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26472
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26473
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26474
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26475
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26476
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26477
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26478
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26479
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26480
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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