CMS Formulary

Displaying 18491-18500 of 1611142 results.
ID: 18491
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 850457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18492
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1236632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18493
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359271
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18494
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 758555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18495
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1052660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18496
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1250723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18497
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1600710
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18498
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999587
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 18499
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18500
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2373941
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0