CMS Formulary

Displaying 18831-18840 of 1611142 results.
ID: 18831
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1812434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18832
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 866111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18833
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 198252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18834
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649593
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 18835
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1546189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 18836
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2261794
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 18837
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040058
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18838
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 858804
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18839
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 794641
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 18840
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 617768
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30