CMS Formulary

Displaying 31981-31990 of 1611142 results.
ID: 31981
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 898350
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31982
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 898353
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31983
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 898356
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31984
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 898359
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31985
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 898342
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31986
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 898346
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31987
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 863669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31988
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313581
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 31989
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 402246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31990
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 402247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0