CMS Formulary

Displaying 11981-11990 of 1611142 results.
ID: 11981
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 11982
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 11983
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 11984
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11985
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 794610
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11986
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 831870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11987
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 850457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11988
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1236632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11989
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359271
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11990
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 758555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0