CMS Formulary

Displaying 1751-1760 of 1611142 results.
ID: 1751
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 198103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1752
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 250820
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 1753
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 858751
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1754
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 858733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1755
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1756
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801279
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1757
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1758
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1759
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1760
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0