Displaying 26821-26830 of 1611142 results.
ID:
26821
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26822
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26823
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
26824
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
26825
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
26826
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26827
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26828
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26829
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26830
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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