CMS Formulary

Displaying 31951-31960 of 1611142 results.
ID: 31951
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 979480
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31952
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 248109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31953
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 314108
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31954
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 311290
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31955
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 854984
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31956
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 854988
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31957
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 854925
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31958
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 904431
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 31959
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 312087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31960
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 198334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0