Displaying 26891-26900 of 1611142 results.
ID:
26891
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26892
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26893
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26894
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26895
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26896
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26897
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26898
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26899
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26900
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
26891268922689326894268952689626897268982689926900