Displaying 30981-30990 of 1611142 results.
ID:
30981
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30982
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30983
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30984
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30985
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30986
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30987
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30988
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30989
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30990
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
30981309823098330984309853098630987309883098930990