CMS Formulary

Displaying 11491-11500 of 1611142 results.
ID: 11491
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 835568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11492
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11493
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 896758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11494
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 896762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11495
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 199369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11496
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 645037
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 11497
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11498
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11499
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11500
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 860215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0