CMS Formulary

Displaying 25911-25920 of 1611142 results.
ID: 25911
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25912
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25913
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1661799
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 25914
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946589
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 32
Qty Limit Days: 30
ID: 25915
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1421461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25916
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044928
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 25917
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 25918
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 25919
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 25920
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30