CMS Formulary

Displaying 10791-10800 of 1611142 results.
ID: 10791
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10792
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10793
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 313472
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 10794
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10795
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 905269
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10796
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 905283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10797
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10798
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 312615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10799
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10800
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197366
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0