CMS Formulary

Displaying 19581-19590 of 1611142 results.
ID: 19581
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734642
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19582
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988671
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 19583
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988675
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 19584
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1924315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19585
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19586
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 798300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19587
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 830253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19588
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 830245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19589
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 836636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19590
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 836634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0