CMS Formulary

Displaying 24731-24740 of 1611142 results.
ID: 24731
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 403884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24732
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24733
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856535
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24734
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24735
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24736
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24737
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 860654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24738
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 199450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24739
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24740
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30