CMS Formulary

Displaying 24551-24560 of 1611142 results.
ID: 24551
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1735537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24552
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 992403
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24553
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1735496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24554
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1147228
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 24555
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 24556
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 24557
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 205532
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24558
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592285
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 24559
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868016
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 24560
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868020
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30