Displaying 26811-26820 of 1611142 results.
ID:
26811
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26812
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
26813
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26814
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26815
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
26816
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
26817
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
26818
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26819
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26820
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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