CMS Formulary

Displaying 10471-10480 of 1611142 results.
ID: 10471
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 800444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10472
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 801012
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10473
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 801000
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10474
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 801021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10475
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 801031
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10476
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 866924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10477
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 10478
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197466
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 10479
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10480
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0