CMS Formulary

Displaying 22851-22860 of 1611142 results.
ID: 22851
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 830263
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22852
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22853
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22854
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1441740
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22855
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 835721
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22856
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046920
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1008
Qty Limit Days: 90
ID: 22857
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22858
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22859
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22860
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0