CMS Formulary

Displaying 20701-20710 of 1611142 results.
ID: 20701
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 854241
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 48
Qty Limit Days: 30
ID: 20702
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 854248
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20703
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 854245
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 48
Qty Limit Days: 30
ID: 20704
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 854252
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20705
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 403890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20706
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197549
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20707
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20708
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2102717
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20709
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2102713
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20710
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2102715
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30