CMS Formulary

Displaying 21441-21450 of 1611142 results.
ID: 21441
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 402505
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21442
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 402506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21443
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1313885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21444
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 577237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21445
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 310285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21446
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198359
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21447
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 389242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21448
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 204119
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21449
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2287905
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 21450
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2056700
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30