Displaying 26501-26510 of 1611142 results.
ID:
26501
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26502
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26503
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26504
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26505
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310534
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26506
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26507
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26508
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26509
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26510
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
26501265022650326504265052650626507265082650926510