Displaying 26661-26670 of 1611142 results.
ID:
26661
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26662
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26663
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26664
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26665
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26666
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26667
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26668
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26669
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26670
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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