CMS Formulary

Displaying 40321-40330 of 1611142 results.
ID: 40321
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 314231
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 40322
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 312961
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 40323
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 198211
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 40324
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 200060
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 40325
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 317573
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 40326
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 312440
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 40327
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 312441
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 40328
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 199123
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 40329
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 197956
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 40330
Formulary ID: 00021014
Formulary Version: 14
Contract Year: 2021
RXCUI: 197958
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0