Displaying 26571-26580 of 1611142 results.
ID:
26571
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
26572
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
26573
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26574
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26575
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26576
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
26577
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26578
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26579
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26580
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
26571265722657326574265752657626577265782657926580