CMS Formulary

Displaying 21291-21300 of 1611142 results.
ID: 21291
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198372
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21292
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21293
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21294
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242819
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 56
ID: 21295
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242815
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 56
ID: 21296
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 616749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21297
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 728231
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21298
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1657212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21299
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1735537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21300
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 992403
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0