CMS Formulary

Displaying 18411-18420 of 1611142 results.
ID: 18411
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18412
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18413
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18414
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18415
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2392142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18416
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 261105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18417
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310531
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18418
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310535
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18419
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547231
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18420
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2110618
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30