Displaying 30871-30880 of 1611142 results.
ID:
30871
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
30872
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30873
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30874
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30875
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30876
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30877
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30878
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30879
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30880
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
30871308723087330874308753087630877308783087930880