CMS Formulary

Displaying 31461-31470 of 1611142 results.
ID: 31461
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044355
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 31462
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044357
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 31463
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044969
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 31464
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044967
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 31465
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044971
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 31466
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 31467
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31468
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31469
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31470
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30