CMS Formulary

Displaying 31541-31550 of 1611142 results.
ID: 31541
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 351256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31542
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 351257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31543
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31544
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 308459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31545
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31546
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 31547
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000153
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 31548
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 198232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31549
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31550
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0