Displaying 26801-26810 of 1611142 results.
ID:
26801
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
26802
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
26803
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
26804
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26805
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26806
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26807
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26808
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26809
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26810
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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