CMS Formulary

Displaying 21671-21680 of 1611142 results.
ID: 21671
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547231
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21672
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2110618
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 21673
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114074
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21674
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114096
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 21675
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 903841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21676
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114470
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 21677
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049504
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21678
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049545
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21679
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049565
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21680
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049576
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30