Displaying 26961-26970 of 1611142 results.
ID:
26961
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26962
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26963
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26964
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26965
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26966
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26967
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26968
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26969
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26970
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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