Displaying 26631-26640 of 1611142 results.
ID:
26631
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26632
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26633
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26634
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26635
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26636
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26637
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26638
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26639
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26640
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
26631266322663326634266352663626637266382663926640