CMS Formulary

Displaying 11991-12000 of 1611142 results.
ID: 11991
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1052660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11992
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1250723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11993
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1600710
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11994
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999587
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 11995
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11996
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2373941
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11997
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049677
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11998
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 762675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11999
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 259966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12000
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0