CMS Formulary

Displaying 31761-31770 of 1611142 results.
ID: 31761
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 824303
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31762
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054157
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31763
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796665
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31764
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31765
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31766
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31767
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31768
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31769
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604352
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31770
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 825335
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0