Displaying 26721-26730 of 1611142 results.
ID:
26721
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26722
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26723
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26724
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26725
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26726
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26727
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26728
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26729
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26730
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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