CMS Formulary

Displaying 14961-14970 of 1611142 results.
ID: 14961
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 749848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14962
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 753544
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14963
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 750244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14964
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1806177
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14965
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1806185
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 14966
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2468058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14967
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2471314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14968
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14969
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 831533
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14970
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312138
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0