CMS Formulary

Displaying 18471-18480 of 1611142 results.
ID: 18471
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369728
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 18472
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369732
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 18473
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369736
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 18474
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18475
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940372
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18476
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197501
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 18477
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2396770
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 18478
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2396774
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 18479
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18480
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288412
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30