Displaying 30131-30140 of 1611142 results.
ID:
30131
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30132
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30133
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30134
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30135
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30136
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30137
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30138
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30139
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30140
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
30131301323013330134301353013630137301383013930140