CMS Formulary

Displaying 18651-18660 of 1611142 results.
ID: 18651
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667678
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 18652
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1741747
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18653
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809471
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18654
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18655
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18656
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18657
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18658
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 616148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18659
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 901614
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18660
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1147337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0