Displaying 26671-26680 of 1611142 results.
ID:
26671
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26672
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26673
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26674
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26675
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26676
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26677
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
26678
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26679
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26680
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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