CMS Formulary

Displaying 23341-23350 of 1611142 results.
ID: 23341
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 847348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23342
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 847245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23343
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197590
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 23344
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197591
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 23345
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197589
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 23346
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197391
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23347
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197392
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23348
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 597852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23349
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 597850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23350
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0