Displaying 30191-30200 of 1611142 results.
ID:
30191
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30192
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30193
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
30194
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30195
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30196
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30197
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
30198
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30199
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30200
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
30191301923019330194301953019630197301983019930200