CMS Formulary

Displaying 31181-31190 of 1611142 results.
ID: 31181
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31182
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 858813
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31183
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 858817
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31184
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 858810
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31185
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31186
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31187
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 858828
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31188
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 308976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31189
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 834348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31190
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0