CMS Formulary

Displaying 24931-24940 of 1611142 results.
ID: 24931
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049565
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24932
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049576
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24933
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049586
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24934
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049595
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24935
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049601
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24936
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24937
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24938
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24939
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24940
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0