CMS Formulary

Displaying 14491-14500 of 1611142 results.
ID: 14491
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 198382
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14492
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 997226
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14493
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 997220
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14494
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 349201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14495
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 200034
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14496
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312078
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14497
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 314154
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14498
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 283639
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14499
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 200284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14500
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312076
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30