CMS Formulary

Displaying 20021-20030 of 1611142 results.
ID: 20021
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 834127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20022
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 141935
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20023
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 849385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20024
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 861848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20025
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 859835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20026
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 905273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20027
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20028
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 312036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20029
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 856940
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2700
Qty Limit Days: 30
ID: 20030
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 834137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0