CMS Formulary

Displaying 31611-31620 of 1611142 results.
ID: 31611
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665093
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31612
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31613
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31614
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091650
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31615
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091654
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31616
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31617
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235157
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31618
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31619
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31620
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 745462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0