CMS Formulary

Displaying 23961-23970 of 1611142 results.
ID: 23961
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2102713
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23962
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2102715
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23963
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2475840
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 560
Qty Limit Days: 28
ID: 23964
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2107621
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 23965
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1719862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23966
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1719803
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23967
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 866103
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23968
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 672567
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 23969
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 672569
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 23970
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 672571
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30