CMS Formulary

Displaying 18271-18280 of 1611142 results.
ID: 18271
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 998685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18272
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099686
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 18273
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099691
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 18274
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099697
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 18275
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1313785
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18276
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 207588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18277
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 213510
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18278
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18279
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 199148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18280
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 311787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0