Displaying 26641-26650 of 1611142 results.
ID:
26641
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26642
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26643
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26644
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26645
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26646
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26647
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26648
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26649
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26650
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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