Displaying 26921-26930 of 1611142 results.
ID:
26921
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
26922
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26923
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
26924
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26925
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26926
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26927
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26928
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26929
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26930
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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