CMS Formulary

Displaying 10041-10050 of 1611142 results.
ID: 10041
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10042
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940709
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 10043
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10044
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 835896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10045
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 835835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10046
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10047
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10048
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115259
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10049
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10050
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0