CMS Formulary

Displaying 18141-18150 of 1611142 results.
ID: 18141
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2174390
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18142
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243052
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18143
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606866
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18144
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2257013
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 18145
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606870
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18146
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2053519
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18147
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2166401
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18148
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999389
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18149
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1812470
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 18150
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655934
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30