Displaying 43151-43160 of 1611142 results.
ID:
43151
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
43152
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43153
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43154
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43155
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43156
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43157
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43158
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
43159
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
43160
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
43151431524315343154431554315643157431584315943160