CMS Formulary

Displaying 18431-18440 of 1611142 results.
ID: 18431
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049601
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18432
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18433
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18434
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18435
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18436
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18437
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18438
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18439
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18440
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0