CMS Formulary

Displaying 23641-23650 of 1611142 results.
ID: 23641
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 751620
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23642
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 751623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23643
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 751616
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23644
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 827075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23645
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 833151
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23646
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 833139
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23647
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 833143
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23648
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 833149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23649
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 833146
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23650
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0