CMS Formulary

Displaying 19871-19880 of 1611142 results.
ID: 19871
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 545293
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19872
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 207029
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19873
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 665022
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19874
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1720881
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19875
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19876
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 207035
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19877
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 261101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19878
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 847232
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 19879
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 285018
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 28
ID: 19880
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 855178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0