CMS Formulary

Displaying 24961-24970 of 1611142 results.
ID: 24961
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 24962
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 24963
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24964
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24965
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24966
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24967
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 404450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 24968
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242233
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24969
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 616116
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24970
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 616114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28