Displaying 26511-26520 of 1611142 results.
ID:
26511
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26512
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26513
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26514
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26515
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26516
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26517
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26518
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26519
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26520
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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