CMS Formulary

Displaying 11351-11360 of 1611142 results.
ID: 11351
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 751570
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11352
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 897044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11353
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 758032
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 11354
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 758027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 11355
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11356
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 207836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11357
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11358
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 11359
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 11360
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0