CMS Formulary

Displaying 12591-12600 of 1611142 results.
ID: 12591
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12592
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 311288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12593
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 311289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12594
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 387003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12595
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 807832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12596
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 846378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12597
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12598
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309114
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12599
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 313570
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 30
ID: 12600
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 313571
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 80
Qty Limit Days: 30