CMS Formulary

Displaying 20001-20010 of 1611142 results.
ID: 20001
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 310534
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20002
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20003
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20004
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20005
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 308865
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 20006
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860154
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20007
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20008
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860127
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20009
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 856448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20010
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 856457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0