CMS Formulary

Displaying 23751-23760 of 1611142 results.
ID: 23751
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 857560
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23752
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23753
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 977880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23754
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23755
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23756
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23757
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 261178
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23758
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 198300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23759
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 106303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23760
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 313450
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0