CMS Formulary

Displaying 31321-31330 of 1611142 results.
ID: 31321
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31322
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31323
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31324
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31325
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31326
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31327
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31328
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31329
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31330
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0