CMS Formulary

Displaying 26091-26100 of 1611142 results.
ID: 26091
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 830253
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26092
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 830245
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26093
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 836636
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26094
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 836634
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26095
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 26096
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 26097
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26098
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26099
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 26100
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0