CMS Formulary

Displaying 19791-19800 of 1611142 results.
ID: 19791
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19792
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921010
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19793
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19794
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 152971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19795
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2166143
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19796
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2196900
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19797
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19798
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940709
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 19799
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19800
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 835896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0