CMS Formulary

Displaying 18451-18460 of 1611142 results.
ID: 18451
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274816
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18452
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274814
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18453
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044355
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 18454
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044357
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 18455
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044969
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18456
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044967
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18457
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 18458
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 18459
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18460
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30