CMS Formulary

Displaying 31631-31640 of 1611142 results.
ID: 31631
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31632
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31633
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31634
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 831109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31635
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 978573
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31636
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605071
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31637
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605075
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31638
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 314072
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25
ID: 31639
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 244967
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31640
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0