CMS Formulary

Displaying 19441-19450 of 1611142 results.
ID: 19441
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19442
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19443
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19444
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 206883
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19445
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2473107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19446
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 206902
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19447
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 483450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 19448
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 483438
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 19449
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 483440
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 19450
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 483444
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30