CMS Formulary

Displaying 10251-10260 of 1611142 results.
ID: 10251
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 10252
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860127
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 10253
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10254
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10255
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10256
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10257
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10258
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10259
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 903857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10260
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0