CMS Formulary

Displaying 17861-17870 of 1611142 results.
ID: 17861
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17862
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 17863
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 17864
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17865
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17866
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17867
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17868
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17869
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17870
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0