CMS Formulary

Displaying 19851-19860 of 1611142 results.
ID: 19851
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2169322
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 19852
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2362240
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 19853
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2169320
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 19854
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2362244
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 19855
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1365866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19856
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1656351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19857
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873991
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 19858
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 42
Qty Limit Days: 28
ID: 19859
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873995
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 63
Qty Limit Days: 28
ID: 19860
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1421456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0