CMS Formulary

Displaying 24881-24890 of 1611142 results.
ID: 24881
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1654079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24882
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 853354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24883
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 853356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24884
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 848164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24885
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24886
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482814
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24887
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24888
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1100079
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 24889
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1918044
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 24890
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1928689
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0