CMS Formulary

Displaying 21791-21800 of 1611142 results.
ID: 21791
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000153
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 21792
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21793
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21794
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21795
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 309337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21796
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21797
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197980
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21798
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 544455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21799
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 863599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21800
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 995241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0