CMS Formulary

Displaying 23671-23680 of 1611142 results.
ID: 23671
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 485968
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23672
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 991061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23673
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 857683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23674
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23675
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 198202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23676
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 857677
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23677
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1245443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23678
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1245373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23679
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 309329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23680
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 314078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0