CMS Formulary

Displaying 31291-31300 of 1611142 results.
ID: 31291
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31292
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31293
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31294
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31295
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31296
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 312084
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31297
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 198051
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31298
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 312077
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 31299
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313412
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31300
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313413
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0