CMS Formulary

Displaying 18001-18010 of 1611142 results.
ID: 18001
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18002
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18003
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18004
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 860215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18005
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 860221
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18006
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 349194
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 18007
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 349195
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 18008
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 349198
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 18009
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 403825
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18010
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0