CMS Formulary

Displaying 10051-10060 of 1611142 results.
ID: 10051
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10052
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10053
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 727705
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10054
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10055
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 825170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10056
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801278
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10057
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 847741
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 10058
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10059
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2056897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10060
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 746609
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28