CMS Formulary

Displaying 19091-19100 of 1611142 results.
ID: 19091
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19092
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044732
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19093
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19094
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19095
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19096
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 311288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19097
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 311289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19098
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 387003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19099
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 807832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19100
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 846378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0