CMS Formulary

Displaying 23491-23500 of 1611142 results.
ID: 23491
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23492
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23493
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23494
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23495
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23496
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23497
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23498
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23499
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310670
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23500
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373483
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 7