CMS Formulary

Displaying 18111-18120 of 1611142 results.
ID: 18111
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173500
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 18112
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739778
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18113
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739782
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18114
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 795085
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18115
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 849599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18116
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739770
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18117
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251914
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18118
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 722256
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18119
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251918
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18120
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 724142
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30