CMS Formulary

Displaying 24101-24110 of 1611142 results.
ID: 24101
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 863628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24102
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 314080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24103
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24104
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 545236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24105
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24106
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24107
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24108
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197636
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24109
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 260243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24110
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0