CMS Formulary

Displaying 24951-24960 of 1611142 results.
ID: 24951
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658341
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24952
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 24953
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602604
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 24954
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602607
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 24955
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274816
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 24956
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274814
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 24957
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044355
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 24958
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044357
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 24959
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044969
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 24960
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044967
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28