CMS Formulary

Displaying 11831-11840 of 1611142 results.
ID: 11831
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045638
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 11832
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2120195
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 11833
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123191
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 11834
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 727537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11835
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648162
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11836
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11837
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048718
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 11838
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048722
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 11839
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11840
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1865962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0