CMS Formulary

Displaying 24991-25000 of 1611142 results.
ID: 24991
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 24992
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24993
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 794610
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24994
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 831870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24995
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 850457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24996
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1236632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24997
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359271
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24998
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 758555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24999
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1052660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25000
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1250723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0