CMS Formulary

Displaying 18371-18380 of 1611142 results.
ID: 18371
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18372
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18373
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1662285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18374
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 984082
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18375
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1551923
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18376
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601373
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18377
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1654079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18378
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 853354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18379
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 853356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18380
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 848164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0