CMS Formulary

Displaying 24361-24370 of 1611142 results.
ID: 24361
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 758032
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 24362
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 758027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 24363
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24364
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 207836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24365
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24366
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 24367
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 24368
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24369
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24370
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0