CMS Formulary

Displaying 31831-31840 of 1611142 results.
ID: 31831
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101459
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31832
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101465
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31833
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926823
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 31834
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926827
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 30
ID: 31835
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809513
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31836
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876671
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31837
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876673
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31838
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876674
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31839
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1812434
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31840
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 866111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0