CMS Formulary

Displaying 23841-23850 of 1611142 results.
ID: 23841
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1862701
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23842
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1862697
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23843
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1862692
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23844
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1037181
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23845
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1037049
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23846
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 991082
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23847
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 702519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23848
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 314182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23849
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 885219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23850
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 885213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0