CMS Formulary

Displaying 11891-11900 of 1611142 results.
ID: 11891
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11892
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11893
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11894
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11895
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11896
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11897
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11898
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 11899
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11900
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0