CMS Formulary

Displaying 31331-31340 of 1611142 results.
ID: 31331
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31332
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1492746
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31333
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 727542
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31334
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 727545
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31335
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605455
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31336
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649946
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31337
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649964
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31338
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 993456
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 180
ID: 31339
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046402
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31340
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649491
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0