CMS Formulary

Displaying 31081-31090 of 1611142 results.
ID: 31081
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 31082
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1010739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31083
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 391937
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31084
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197305
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31085
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 212787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31086
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1312408
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 31087
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439894
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 31088
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439896
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 31089
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439899
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 31090
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439901
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30