CMS Formulary

Displaying 17641-17650 of 1611142 results.
ID: 17641
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17642
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797863
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 50
Qty Limit Days: 25
ID: 17643
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 213262
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17644
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 545259
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17645
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17646
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 850309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17647
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17648
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1150836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17649
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2118539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17650
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 864650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0