Displaying 30821-30830 of 1611142 results.
ID:
30821
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30822
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30823
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30824
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30825
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30826
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30827
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30828
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30829
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30830
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
30821308223082330824308253082630827308283082930830