Displaying 26731-26740 of 1611142 results.
ID:
26731
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26732
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26733
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26734
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26735
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26736
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26737
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26738
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
26739
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26740
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
26731267322673326734267352673626737267382673926740