CMS Formulary

Displaying 18051-18060 of 1611142 results.
ID: 18051
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 18052
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 18053
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 205532
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18054
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592285
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 18055
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868016
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 18056
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868020
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 18057
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1727485
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 18058
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1441530
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18059
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242998
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18060
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2106075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0