CMS Formulary

Displaying 20101-20110 of 1611142 results.
ID: 20101
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 866049
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20102
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 896019
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20103
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 896027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 20104
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 896023
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20105
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 213484
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20106
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 759473
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 180
ID: 20107
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 896185
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20108
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 896212
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20109
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 896229
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20110
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 896237
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 30