CMS Formulary

Displaying 18331-18340 of 1611142 results.
ID: 18331
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18332
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18333
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18334
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2168596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18335
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045638
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 18336
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2120195
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 18337
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123191
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 18338
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 727537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18339
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648162
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18340
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0