Displaying 26751-26760 of 1611142 results.
ID:
26751
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26752
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
26753
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26754
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26755
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26756
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26757
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26758
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26759
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26760
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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