CMS Formulary

Displaying 10061-10070 of 1611142 results.
ID: 10061
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 845518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 10062
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 845512
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 10063
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 847734
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10064
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 860244
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 30
ID: 10065
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1002300
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 10066
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 998191
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 10067
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1012899
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 10068
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1119402
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 10069
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310138
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 10070
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310144
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28