CMS Formulary

Displaying 31441-31450 of 1611142 results.
ID: 31441
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31442
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31443
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31444
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31445
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31446
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31447
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31448
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31449
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 31450
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28