CMS Formulary

Displaying 11131-11140 of 1611142 results.
ID: 11131
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11132
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11133
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11134
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11135
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11136
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11137
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11138
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797863
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 50
Qty Limit Days: 25
ID: 11139
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 213262
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11140
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 545259
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0