CMS Formulary

Displaying 20421-20430 of 1611142 results.
ID: 20421
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 857683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20422
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20423
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20424
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 857677
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20425
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1245443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20426
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1245373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20427
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 309329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20428
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 314078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20429
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197635
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20430
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197634
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30