CMS Formulary

Displaying 24891-24900 of 1611142 results.
ID: 24891
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2118741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24892
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000019
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24893
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1994362
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24894
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442992
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 24895
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000023
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24896
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000027
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24897
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000031
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24898
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24899
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24900
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0