Displaying 26971-26980 of 1611142 results.
ID:
26971
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26972
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26973
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26974
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26975
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26976
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26977
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26978
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26979
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
26980
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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