CMS Formulary

Displaying 25891-25900 of 1611142 results.
ID: 25891
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 91
Qty Limit Days: 84
ID: 25892
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25893
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25894
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722676
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25895
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25896
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1941470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25897
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1941476
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25898
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1941473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25899
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25900
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0