CMS Formulary

Displaying 19111-19120 of 1611142 results.
ID: 19111
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19112
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19113
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19114
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19115
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19116
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19117
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197453
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19118
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19119
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309113
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19120
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 200345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30