Displaying 26581-26590 of 1611142 results.
ID:
26581
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26582
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
26583
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
26584
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
26585
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
26586
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26587
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26588
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26589
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
26590
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
26581265822658326584265852658626587265882658926590