Displaying 26701-26710 of 1611142 results.
ID:
26701
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26702
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26703
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26704
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26705
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26706
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26707
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26708
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
26709
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
26710
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
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