CMS Formulary

Displaying 20541-20550 of 1611142 results.
ID: 20541
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20542
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 311892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20543
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 311893
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20544
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 199521
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 20545
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20546
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20547
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20548
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20549
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 313472
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 20550
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0