CMS Formulary

Displaying 19751-19760 of 1611142 results.
ID: 19751
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 795737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19752
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284104
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 19753
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1741049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19754
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2273115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19755
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 616283
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19756
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284106
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 19757
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 616287
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19758
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1541928
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19759
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 616292
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 19760
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1357547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0