CMS Formulary

Displaying 20591-20600 of 1611142 results.
ID: 20591
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1862692
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20592
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1037181
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20593
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1037049
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20594
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 991082
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20595
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 702519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20596
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 314182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20597
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 885219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20598
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 885213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20599
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049635
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 20600
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0