CMS Formulary

Displaying 21561-21570 of 1611142 results.
ID: 21561
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 206917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21562
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1657151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 21563
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 749206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21564
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659592
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21565
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21566
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21567
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21568
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21569
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21570
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0