CMS Formulary

Displaying 20461-20470 of 1611142 results.
ID: 20461
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20462
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 856369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20463
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1009145
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20464
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 687043
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20465
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 577957
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20466
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000114
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20467
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 199159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20468
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20469
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20470
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0