CMS Formulary

Displaying 24461-24470 of 1611142 results.
ID: 24461
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24462
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24463
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24464
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24465
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24466
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24467
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24468
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24469
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1939299
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 24470
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1939348
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28