CMS Formulary

Displaying 21591-21600 of 1611142 results.
ID: 21591
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648162
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21592
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21593
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048718
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 21594
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048722
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 21595
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21596
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1865962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21597
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197699
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21598
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197700
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21599
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 596926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21600
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 596930
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30