CMS Formulary

Displaying 24841-24850 of 1611142 results.
ID: 24841
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123191
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 24842
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 727537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24843
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648162
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24844
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24845
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048718
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24846
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048722
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24847
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1991509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24848
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1865962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24849
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197699
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24850
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197700
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0