Displaying 26611-26620 of 1611142 results.
ID:
26611
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26612
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26613
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26614
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
26615
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
26616
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
26617
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
26618
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
26619
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
26620
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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