CMS Formulary

Displaying 21111-21120 of 1611142 results.
ID: 21111
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21112
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 207836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21113
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21114
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 21115
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 21116
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21117
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21118
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21119
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21120
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0