CMS Formulary

Displaying 18781-18790 of 1611142 results.
ID: 18781
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18782
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 284215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18783
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 544840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18784
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 313165
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 18785
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 865129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18786
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18787
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18788
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 597823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18789
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18790
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0