CMS Formulary

Displaying 31511-31520 of 1611142 results.
ID: 31511
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 259966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31512
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31513
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 401953
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31514
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 401954
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31515
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 616698
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 31516
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 616705
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 31517
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 312635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31518
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 198365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31519
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 995666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31520
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 198145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0