CMS Formulary

Displaying 27071-27080 of 1611142 results.
ID: 27071
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1723478
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27072
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430453
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27073
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430457
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27074
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1100706
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27075
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430449
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 27076
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592748
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27077
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592752
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27078
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243033
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27079
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243040
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 27080
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243026
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30