CMS Formulary

Displaying 21661-21670 of 1611142 results.
ID: 21661
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21662
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21663
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21664
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21665
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21666
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21667
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2392142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21668
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 261105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21669
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310531
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 21670
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310535
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30