Displaying 26681-26690 of 1611142 results.
ID:
26681
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26682
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26683
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26684
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26685
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26686
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26687
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26688
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26689
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26690
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
26681266822668326684266852668626687266882668926690