CMS Formulary

Displaying 18441-18450 of 1611142 results.
ID: 18441
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 18442
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 18443
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 18444
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658329
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18445
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18446
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18447
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658341
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18448
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18449
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602604
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 18450
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602607
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28