CMS Formulary

Displaying 21861-21870 of 1611142 results.
ID: 21861
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21862
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 310467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21863
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21864
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 745462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21865
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21866
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21867
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21868
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049223
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 21869
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049227
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 21870
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049216
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30