Displaying 26881-26890 of 1611142 results.
ID:
26881
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26882
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26883
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26884
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26885
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26886
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26887
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26888
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26889
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26890
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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