CMS Formulary

Displaying 24851-24860 of 1611142 results.
ID: 24851
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 596926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24852
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 596930
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24853
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 596934
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24854
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24855
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 834061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24856
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 834102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24857
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310436
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24858
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310437
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24859
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 579148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24860
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 104894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0