Displaying 43501-43510 of 1611142 results.
ID:
43501
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
43502
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
43503
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43504
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43505
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
43506
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
43507
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43508
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
43509
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43510
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
43501435024350343504435054350643507435084350943510