CMS Formulary

Displaying 31971-31980 of 1611142 results.
ID: 31971
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 200285
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31972
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349353
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31973
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 636042
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31974
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 636045
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31975
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 251872
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 31976
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 314200
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 31977
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349483
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31978
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349199
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31979
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349200
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31980
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 200224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0