CMS Formulary

Displaying 10901-10910 of 1611142 results.
ID: 10901
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10902
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10903
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 403852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10904
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 730988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10905
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 349556
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 10906
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 240741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10907
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10908
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 476576
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10909
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 617423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10910
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 617993
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0