CMS Formulary

Displaying 24921-24930 of 1611142 results.
ID: 24921
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310531
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24922
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310535
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24923
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547231
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24924
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2110618
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24925
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114074
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24926
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114096
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24927
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 903841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24928
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114470
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24929
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049504
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24930
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049545
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30