CMS Formulary

Displaying 31111-31120 of 1611142 results.
ID: 31111
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114202
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 31112
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31113
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650968
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 84
ID: 31114
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650972
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 31115
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650974
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 31116
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650976
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 84
ID: 31117
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739766
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31118
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739774
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31119
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173500
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 31120
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739778
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30