CMS Formulary

Displaying 10381-10390 of 1611142 results.
ID: 10381
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 993536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10382
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 852877
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10383
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10384
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197978
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10385
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1246306
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 10386
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1246290
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 10387
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1666334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10388
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1116639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10389
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1872261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10390
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0