Displaying 26951-26960 of 1611142 results.
ID:
26951
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26952
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26953
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26954
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
26955
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
26956
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26957
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
26958
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26959
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26960
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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