CMS Formulary

Displaying 23821-23830 of 1611142 results.
ID: 23821
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430457
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23822
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1100706
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23823
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430449
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23824
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592748
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23825
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592752
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23826
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243033
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23827
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243040
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23828
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243026
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23829
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545664
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23830
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545668
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30