CMS Formulary

Displaying 19411-19420 of 1611142 results.
ID: 19411
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1421461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19412
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044928
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 19413
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 19414
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 19415
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 19416
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 19417
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 19418
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19419
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19420
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283505
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30