CMS Formulary

Displaying 21711-21720 of 1611142 results.
ID: 21711
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21712
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21713
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21714
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21715
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 404450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 21716
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242233
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 21717
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 616116
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 21718
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 616114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 21719
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 643714
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 21720
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1429367
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28