CMS Formulary

Displaying 27051-27060 of 1611142 results.
ID: 27051
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27052
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27053
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 313472
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 27054
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27055
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 905269
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27056
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 905283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27057
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27058
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 312615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27059
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27060
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197366
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0