CMS Formulary

Displaying 19461-19470 of 1611142 results.
ID: 19461
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19462
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19463
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19464
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 848333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 19465
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 848343
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 19466
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 19467
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 19468
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 7
Qty Limit Days: 28
ID: 19469
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 19470
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0