CMS Formulary

Displaying 18281-18290 of 1611142 results.
ID: 18281
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18282
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18283
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18284
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18285
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18286
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18287
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18288
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312084
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18289
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 198051
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18290
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312077
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30