CMS Formulary

Displaying 10011-10020 of 1611142 results.
ID: 10011
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 10012
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047596
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 10013
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047623
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 10014
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2463737
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 10015
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2463733
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 10016
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2105856
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 10017
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2168548
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 10018
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 10019
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1148506
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 10020
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1148502
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30