CMS Formulary

Displaying 10591-10600 of 1611142 results.
ID: 10591
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 897710
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 10592
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 864706
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 10593
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049611
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 10594
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049618
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 10595
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 245136
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 10596
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 245134
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 10597
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 245135
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 10598
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197696
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 10599
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10600
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 829762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0