CMS Formulary

Displaying 18391-18400 of 1611142 results.
ID: 18391
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000023
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 18392
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 18393
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000031
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 18394
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18395
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18396
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18397
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18398
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18399
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18400
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0