Displaying 26591-26600 of 1611142 results.
ID:
26591
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26592
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26593
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26594
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26595
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26596
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26597
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26598
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26599
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26600
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
26591265922659326594265952659626597265982659926600