CMS Formulary

Displaying 1281-1290 of 1611142 results.
ID: 1281
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1282
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1283
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1284
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1285
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1537209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1286
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1487086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1287
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1539953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1288
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1539955
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1289
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1290
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 904419
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30