Displaying 26901-26910 of 1611142 results.
ID:
26901
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26902
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26903
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26904
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26905
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26906
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26907
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26908
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26909
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26910
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
26901269022690326904269052690626907269082690926910