CMS Formulary

Displaying 20291-20300 of 1611142 results.
ID: 20291
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 834235
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 20292
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 834241
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 20293
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 359144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20294
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 359145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20295
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20296
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 242892
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 20297
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1149632
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 20298
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 242891
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 20299
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 248478
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 20300
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0