CMS Formulary

Displaying 22841-22850 of 1611142 results.
ID: 22841
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 836636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22842
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 836634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22843
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 22844
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 22845
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22846
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22847
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 22848
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22849
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22850
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0