CMS Formulary

Displaying 19591-19600 of 1611142 results.
ID: 19591
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 19592
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 19593
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19594
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19595
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 19596
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19597
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19598
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19599
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 830263
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19600
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0