CMS Formulary

Displaying 199631-199640 of 1611142 results.
ID: 199631
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199632
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199633
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404062
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199634
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199635
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199636
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199637
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199638
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199639
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199640
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 753481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0