CMS Formulary

Displaying 10491-10500 of 1611142 results.
ID: 10491
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 310670
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10492
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373483
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 7
ID: 10493
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373491
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 10494
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10495
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 866491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10496
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10497
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856825
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10498
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 313354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10499
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198274
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10500
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198275
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0